Form 4670 - Request For Relief From Payment Of Income Tax Withholding

Download a blank fillable Form 4670 - Request For Relief From Payment Of Income Tax Withholding in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 4670 - Request For Relief From Payment Of Income Tax Withholding with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Department of the Treasury - Internal Revenue Service
4670
Form
Request for Relief from Payment of Income Tax Withholding
(Rev. 1-2004)
Name and address of payor
Payor identification number
Return form number
Tax period covered by Examination
From:
To:
As provided by Internal Revenue Code section 3402(d), explained on the back of this form, please relieve me from the payment of income tax
required to be withheld from payments covered by the attached Forms 4669, Statement of Payments Received, listed below.
Year
Number of Statements
Total statements attached
I certify that either (1) the statements were signed in my presence, or (2) to the best of my knowledge and belief the signatures on the state-
ments are valid and legal.
Date
Date
Title
Date
By
Form 4670 (Rev. 1-2004)
Catalog No. 23290O

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2